Du selfcare email registration

Here is an example of a self-care email registration form:

Self-Care Email Registration Form

Name: ___

Email Address: __

Interests: (Check all that apply)

• Meditation and mindfulness
• Yoga and stretching
• Journaling and writing
• Reading and relaxation
• Creative pursuits (art, music, etc.)
• Outdoor activities (hiking, walking, etc.)
• Other (please specify): ___

How often would you like to receive self-care emails?

• Daily
• Weekly
• Bi-weekly
• Monthly

What topics would you like to receive self-care emails on?

• Stress management
• Anxiety and depression
• Sleep and relaxation
• Nutrition and wellness
• Mindfulness and meditation
• Other (please specify): ___

How did you hear about our self-care email series?

• Social media
• Friend or family member
• Online search
• Other (please specify): ___

Any additional comments or requests?

Submit

By submitting this form, you agree to receive self-care emails from [Your Name/Organization] and acknowledge that you have read and agree to our [Privacy Policy/Terms of Use].